| NPI | 1639422538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY P BURTON President 805-494-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 33554) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: CA 33554) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-11-20 |