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 |