| NPI | 1225228083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS NOEL GADLER Owner 619-334-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA D40239) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2013-06-03 |