NPI | 1669535332 |
---|---|
Doing Business As | DESERT DENTIST |
Entity Type | Organization |
Authorized Contact | LLEWELLYN LUTHER MOWERY President 760-244-5047 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 016232) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2008-10-01 |