NPI | 1740040682 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER DOANE Doctor 805-450-7329 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
1223X0008X Dentist, Oral and Maxillofacial Radiology | |
Enumeration Date | 2024-03-19 |
Last Update Date | 2024-03-19 |