NPI | 1760498505 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERY ALAN DAUGHENBAUGH President 831-757-3951 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 24000) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2013-01-18 |