| NPI | 1306092861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN G. DAVIS Orthodontist 760-781-1086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 29576) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2012-04-05 |