NPI | 1457562993 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDALL HALLIDAY President 909-886-6845 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CA 22609) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2020-08-22 |