| NPI | 1760515290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS VEAL Orthodontist 805-483-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 21075) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |