| NPI | 1275804023 |
|---|---|
| Doing Business As | DEL MAR DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON TROY BACON Manager 951-205-5140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 24381) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |