| NPI | 1164668315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ROBERT FLEMING President 619-582-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 22215ca) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |