| NPI | 1750399648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN R DANKWORTH President Owner 760-633-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA DB033273) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 032819) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-06-18 |