| NPI | 1255623823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONNY V ESLAMPOUR Dentist 760-510-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44585) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 44045) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |