| NPI | 1265694327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PAUL CONNOLLY Owner/ Orthodontist 831-722-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 24283) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |