| NPI | 1205215613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GITA SARKARIA ENGLERT Dentist / Owner 760-598-9654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38991) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 39258) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |