NPI | 1659499481 |
---|---|
Entity Type | Organization |
Authorized Contact | RON BRUNICK Owner 805-544-1941 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26302) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 49202) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |