| NPI | 1457456741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DALE KATNIK President 858-569-9651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 20824) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2013-01-08 |