| NPI | 1215076401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHLEE CRISTINE MELAD President 619-420-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43819) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |