| NPI | 1215157763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W. DAVIS Dentist 805-964-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37526) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2013-08-20 |