| NPI | 1053670141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER A RICH Owner/Dentist 619-540-0816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 57833) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |