| 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 |