NPI | 1780932905 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER C DUKES Dentist 805-963-1222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 27426) |
Enumeration Date | 2012-08-20 |
Last Update Date | 2012-10-02 |