| NPI | 1447553573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS B WEBER President/CEO 661-945-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 37951) |
| Enumeration Date | 2010-12-12 |
| Last Update Date | 2010-12-12 |