| NPI | 1578743456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGGORY P. GECHOFF Owner 619-448-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 44479) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 20981) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-12-23 |