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 |