| NPI | 1942333109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL THOMPSON Dentist 714-528-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 030678) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |