| NPI | 1922323369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CHAD RAMIREZ Business Manager 949-305-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: CA 49809) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |