| NPI | 1306953690 |
|---|---|
| Doing Business As | PENASQUITOS POINT FAMILY DENTRISTRY |
| Entity Type | Organization |
| Authorized Contact | JIM S CHANG CEO 858-484-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 34942) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |