| NPI | 1568756500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J STYRT Owner/Operator 858-458-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |