| NPI | 1679795298 |
|---|---|
| Other Name | ACACIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | PATRICE A WYNDHAMSMITH Office Manager 760-489-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 28413) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 46195) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 49312) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |