| NPI | 1447699616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J N KORSNES Director For Dental Services Nmcsd 619-532-6471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6488) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |