| NPI | 1821199746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR A. IPPOLITO Owner 619-461-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 20379) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |