NPI | 1326432824 |
---|---|
Entity Type | Organization |
Authorized Contact | MATT T TOCUSEANU Dentist/Owner 805-583-2299 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56762) |
Enumeration Date | 2015-03-23 |
Last Update Date | 2015-03-23 |