| NPI | 1831312248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA KV PRABHU President 760-480-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 38736) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |