| NPI | 1073887667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL B POISET Owner/CEO 858-492-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 32650) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |