| NPI | 1518528413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY KARGAR RAM Owner 858-987-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist Dentist Anesthesiologist |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2019-06-22 |