| NPI | 1528599305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEWIS MCANINCH President 805-735-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 62204) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |