| NPI | 1407353873 |
|---|---|
| Doing Business As | MISSION FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SEAN KYLE ODENWALDER President 760-439-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA DDS101299) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |