| NPI | 1558564518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN PULSIPHER Owner 951-600-7457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: CA A67982) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2013-02-14 |