| NPI | 1154754968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KAMINSKY President 805-584-6225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 32100) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 55608) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |