| NPI | 1265649602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WARREN CALHOUN Owner 760-327-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 34938) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |