| NPI | 1700222783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN PULSIPHER Owner 951-600-7457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 41667) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2022-01-13 |