| NPI | 1346691607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MICHAEL ALLEN Orthodontist 760-724-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 50557) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |