NPI | 1346639317 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS HARRINGTON Owner/Operator 805-226-8508 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 43533) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 43533) |
Enumeration Date | 2015-01-14 |
Last Update Date | 2017-02-01 |