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 |