| NPI | 1902943756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE YVETTE MANDILAG BUAN President 714-736-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44294) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |