| NPI | 1083803506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KILZI President 951-739-0752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 38068) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2021-05-18 |