| NPI | 1518430800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALEXANDER FORESTER President 805-592-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |