NPI | 1245377795 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS L DECKER President 619-543-1588 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29878) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 29977) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2008-06-12 |