| NPI | 1417062472 |
|---|---|
| Doing Business As | RANCHO PENASQUITOS DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS J KERRIAN Dentist 858-484-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31129) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 25595) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-07-17 |