| NPI | 1063205706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITU BHARDWAJ Dentist 858-761-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-08-11 |