| NPI | 1194235317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMI HOSS Owner 619-548-8772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 41016) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2018-11-14 |