| NPI | 1376659425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ROBERT FORCEY Corporation President 805-813-1306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 28856) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |