| NPI | 1104198324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT R ADISHIAN President 760-341-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 27944) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-05-11 |