| NPI | 1356455422 |
|---|---|
| Doing Business As | EL CAJON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHATHA FARAJ MECHAEL President/CEO 619-466-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47950) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 31040) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-07-21 |