| NPI | 1639398712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK ALAN ROSENSON Dentist 858-484-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37157) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-08-07 |