| NPI | 1679801930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JOEL BRAUNSTEIN Dentist 760-918-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 26345) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |