| NPI | 1922210665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DEAN IDA President 714-547-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA CA36250) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 36250) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-11-08 |