NPI | 1376832394 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT TODD MCMASTER President 760-724-1011 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43200) |
Enumeration Date | 2011-03-30 |
Last Update Date | 2011-04-27 |