| NPI | 1760490650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ROMAN DOMBROW Owner 619-448-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 18311) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-10 |