| NPI | 1649304601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN CALDWELL TUTTLE President 858-566-8510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 23877) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |