| NPI | 1578793790 |
|---|---|
| Doing Business As | COSMETIC DENTISTRY CENTER OF SAN DIEGO |
| Entity Type | Organization |
| Authorized Contact | NATHAN JAMES HORNSBY President 619-544-0544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 58078) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |