| NPI | 1982842613 |
|---|---|
| Doing Business As | BREA DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | KERRY MAC Secretary 714-529-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51103) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |