NPI | 1215102124 |
---|---|
Entity Type | Organization |
Authorized Contact | ELVIE CERVAS NATHANSON President 619-420-1144 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49158) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2008-04-23 |