| NPI | 1164717377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD D MORGAN Dentist 760-436-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 33703) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2016-12-15 |