| NPI | 1285786616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L BOSWORTH Owner/Dentist 858-292-4566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 55147) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-06-07 |