| NPI | 1225233935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MERRITT BRONSON President 831-212-3997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 31754) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |