| NPI | 1053642181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN C. GREENMAN President/Owner 805-496-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 29903) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-07-20 |