| NPI | 1336668110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMI HOSS Doctor/President 619-961-9867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 41016) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2019-03-18 |