| NPI | 1376152934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA PHILLIPS Office Manager 619-298-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2025-04-17 |