| NPI | 1427197078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L. BARBARA Administrative Director 619-445-0707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2025-10-18 |