| NPI | 1922541481 |
|---|---|
| Doing Business As | SANTA MARIA PEDIATRIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KEITH TAM Owner 949-322-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 57293) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |