| NPI | 1619116563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN L. ROWE Owner/President 562-496-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 38221) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |