| NPI | 1700070646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MILDRED O'CONNOR President 619-291-5291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 38072) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |