| NPI | 1497810790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH HANLON President 760-739-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 43444) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 37237) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |