| NPI | 1972361798 |
|---|---|
| Doing Business As | LIFTED DENTISTRY OF IRVINE |
| Entity Type | Organization |
| Authorized Contact | ALBERT PARK CEO 213-820-4269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |