| NPI | 1275627051 |
|---|---|
| Doing Business As | COLLEGE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARJAN ROGERS Owner Dmd 760-631-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-04-06 |