| NPI | 1972704740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE D HAMILTON Owner/Dentist 949-650-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29712) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-03-11 |