| NPI | 1609103969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN SHERMAN Office Manager 760-726-3973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 54897) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |