NPI | 1386376713 |
---|---|
Entity Type | Organization |
Authorized Contact | KAMI HOSS President/Doctor 619-548-8772 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2022-06-24 |
Last Update Date | 2022-08-10 |