| NPI | 1154712040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN PULSIPHER Partner 951-600-7457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |