| NPI | 1396867107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM S KACHELE Owner 760-471-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34858) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-03-08 |