| NPI | 1699320762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MURASKO President 760-212-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |