| NPI | 1629524970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ALAN ZAKOWSKI Owner 619-298-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 39502) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |