| NPI | 1811162662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA TORGERSEN Doctor 805-484-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DG036204) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |