| NPI | 1104839158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SHELDON ROSENBLATT President 858-453-8520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 43598) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |