| NPI | 1841360641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAGE HUDSON President 805-485-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 36249) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2012-04-04 |