| NPI | 1053152025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WRIGHT President 760-415-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |