| NPI | 1700278827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE LEE SHERMAN Owner 858-453-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52500) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |