| NPI | 1538686126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GERALD MCMAHON Dentist/Owner 619-223-7189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: CA 34383) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-21 |