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 |