| NPI | 1417108101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L REYNOLDS President 858-454-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 30146) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |