| NPI | 1710156559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CURTISS MCDADE Orthodontist 805-482-7615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 40856) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |