| NPI | 1356507800 |
|---|---|
| Other Name | VICTOR VALLEY COMMUNITY DENTAL SERVICE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JOHN FRANCIS LINDSAY Executive Director 760-951-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 17394) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |