| NPI | 1053502047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY KURUVADI Doctor 619-474-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 42674) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |