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 |