| 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 |