NPI | 1184835233 |
---|---|
Entity Type | Organization |
Authorized Contact | ROLAND M BUYAMA President 760-722-1042 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 44458) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2008-06-26 |