| NPI | 1982546552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS TINOCO Insurance Biller 714-544-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-04-06 |
| Last Update Date | 2026-04-06 |