| NPI | 1932666922 |
|---|---|
| Doing Business As | ADVANCED PERIODONTICS AND IMPLANT SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | BOGDAN ROBERT BUSAN Owner 949-285-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2020-08-26 |