| NPI | 1639275621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD P. WEINER Owner 619-670-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26243) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2012-03-15 |