| NPI | 1184752123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R. STROUD Chief Executive Officer 805-937-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 24873) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |