| NPI | 1376088955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE S STROMMER Owner/Dentist 619-993-5078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 39334) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 39339) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |