| NPI | 1376689133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SCOTT MCGALLIARD General Partner 760-837-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 28357) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 36284) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |