| NPI | 1144711979 |
|---|---|
| Doing Business As | SAN DIEGO PROSTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SCOTT A RECKSIEDLER President 619-463-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 60747) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |