| NPI | 1588844922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HARRIS Admin 619-225-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 21482) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |