| NPI | 1003827932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY R SCHANTZ Owner 760-568-5987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 26701) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |