| NPI | 1437355484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HARMON COX Officer 805-237-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 26617) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |