| NPI | 1992180608 |
|---|---|
| Doing Business As | SHORELINE DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | CORY RITZAU Office Manager 949-498-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59541) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |