| NPI | 1710998786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD P. CONNOLLY Owner 831-426-1056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 24283) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |