| NPI | 1427196039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DUNCAN BANKHARDT President 805-584-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 34302) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2008-04-08 |