| NPI | 1770043713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY E BUCHMILLER President 951-676-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |