| NPI | 1003996869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA MARIA SIA-ZOLINA Dentist 858-536-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44085) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-02-12 |