| NPI | 1629093570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN B EARLE President 619-446-8363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 26382) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |