| NPI | 1588817795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J. GILL President 760-325-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38529) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |