| NPI | 1447260211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HOFFMAN LANGE Dentist 858-452-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 48749) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 24132) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |