NPI | 1558637918 |
---|---|
Entity Type | Organization |
Authorized Contact | DALE EDWARD STRINGER Owner 951-787-0602 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA D27930) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2012-03-29 |
Last Update Date | 2012-05-29 |