| NPI | 1922422625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD HUSTER General Dentist 949-833-3756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 54070) |
| Enumeration Date | 2014-02-15 |
| Last Update Date | 2014-02-15 |