NPI | 1740602283 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN PAUL MAROON Owner 858-273-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40671) |
Enumeration Date | 2014-01-17 |
Last Update Date | 2014-01-17 |