| NPI | 1053691725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD WESSLEN Owner 559-732-5658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 58491) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-12-11 |