| NPI | 1144680661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHISHIR NAVINCHANDRA SHAH President 760-744-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 5402) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |