NPI | 1316042930 |
---|---|
Doing Business As | LA JOLLA FAMILY SMILE DESIGN |
Entity Type | Organization |
Authorized Contact | JAIME J BREZINER Partner 858-454-3043 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-09-14 |
Last Update Date | 2020-08-22 |