| NPI | 1760347652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA CHAMBERLAIN Owner/Dentist 805-250-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2025-12-22 |
| Last Update Date | 2025-12-22 |