| NPI | 1376867077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD EDWARD HUBER President 805-498-9641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 44701) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 45707) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2019-10-17 |