| NPI | 1679940167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNA KATHERINE BRUNDAGE Rdhap 858-335-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP 591) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-09-01 |