| NPI | 1356565014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC STUART ELSON President 805-495-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26055) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-01-14 |