| NPI | 1851380075 |
|---|---|
| Doing Business As | HOLLISTER CENTER FOR COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARK W DARNELL President 831-637-4623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28850) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2008-08-13 |