| NPI | 1215336078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES S HARGAS Owner/Dentist 760-433-0393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 29288) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: CA 32108) |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 60272) | |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |