| NPI | 1073703922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM SWEAT Administration 760-779-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-11-06 |