| NPI | 1437547486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT VICTOR REZNICHEK Dentist Orthodontist 760-745-1831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |