NPI | 1043627318 |
---|---|
Doing Business As | SAN DIEGO DENTISTRY STUDIO |
Entity Type | Organization |
Authorized Contact | TIMOTHY R GAROFOLO Owner/Dentist 858-451-2555 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 50912) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2014-07-17 |