NPI | 1154467421 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC J. LINDBECK Owner 760-747-3988 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 032690) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2014-08-28 |