| NPI | 1740408004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L. POTTS President 805-388-3319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 24905) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2009-03-13 |