| NPI | 1811006067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ALLEN GOODMAN Dentist Owner CEO 619-697-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA CA20628) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |