| NPI | 1265550768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHILDE L HOUSER Owner 805-349-0748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43971) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |