| NPI | 1730341884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PAUL CONNOLLY Orthodontist/Owner 831-688-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 24283) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |