NPI | 1528278488 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ANTHONY MOBLEY President 760-341-1459 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 034028) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |