| NPI | 1780215087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JAY EISINGER Doctor 831-372-7397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |