| NPI | 1841628856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT STARR WOODWARD Owner 760-729-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 30724) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2013-10-30 |