| NPI | 1972835148 |
|---|---|
| Doing Business As | FOUNTAIN VALLEY DENTAL ESTHETICS |
| Entity Type | Organization |
| Authorized Contact | NILESH PEMA Owner 714-887-4337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 48536) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |