| NPI | 1912449364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD THOMAS HANSEN Owner 714-870-0310 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26070) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |