| NPI | 1487709572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORCY L NORTON Office Manager 760-747-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 46240) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 38206) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2015-09-01 |