| NPI | 1659584670 |
|---|---|
| Doing Business As | SAN DIEGO PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | DAVID W RICHARDS Owner 619-543-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 39876) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-04-15 |