| NPI | 1215477971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN LANZON President 805-987-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 65049) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |