| NPI | 1265783088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYADARSHAN ASHOK DABIR Dentist/Owner 760-633-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 49740) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 49739) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |