| NPI | 1821355298 |
|---|---|
| Doing Business As | LA CUMBRE DENTAL SPECIALTY CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY JULIA MADDEN Operations Manager 805-682-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 53046) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 60946) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |