| NPI | 1619189313 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SCOTT LIN Office Manager 858-569-1918  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31227)  | 
| Enumeration Date | 2007-05-04 | 
| Last Update Date | 2020-08-22 |