| NPI | 1265569446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY E BUCHMILLER Orthodontist 951-676-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DS026349) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-05-01 |