| NPI | 1629290788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FRANK OUELLET Dentist 805-925-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34292) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-10-19 |