| NPI | 1316349871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN EVERETT LOCKWOOD General Dentist 858-558-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 033120) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |