| NPI | 1164899811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE D KING Office Manager 805-484-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 36774) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 53046) |
| 1223E0200X Dentist, Endodontics (Licence: CA 46335) | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |