NPI | 1124469606 |
---|---|
Entity Type | Organization |
Authorized Contact | BEN GOCKE Clinic Administrator 661-942-1179 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 31212) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2013-07-11 |