| NPI | 1235508508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL ALAN GOLDENBERG President 805-642-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 31269) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |