| NPI | 1144605775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PEDONE Office Manager 805-388-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 64693) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |