| NPI | 1275726325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVAN DJURO PLAMENAC President 619-447-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 2611) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |