| NPI | 1619118254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PERRY Dentist 619-287-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29858) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 29790) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |