| NPI | 1235295965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE C GEORGAKLIS President 858-552-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29051) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |