| NPI | 1023216751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN NEEDLE Managing Doctor 619-293-3352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CA 23856) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2010-11-02 |