| NPI | 1619302767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD JESSE CAWTHON Orthodontist 805-479-8706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DG 32043) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |