| NPI | 1194954537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GRANT Orthodontist 619-267-8905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 51412) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |