| NPI | 1669602694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINH NAKAMURA Office Administrator 858-454-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CA 30457) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2016-12-28 |