NPI | 1023337474 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE LEE Dentist 760-602-9500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44731) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 44373) |
Enumeration Date | 2010-05-25 |
Last Update Date | 2010-05-25 |