| NPI | 1760624407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS K LEE President 760-255-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44332) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |