NPI | 1831220490 |
---|---|
Entity Type | Organization |
Authorized Contact | TERENCE ALAN KILKER President 714-996-2255 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 24810) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2013-05-03 |