NPI | 1861452641 |
---|---|
Doing Business As | ORAL PATHOLOGY DIAGNOSTIC SERVICES |
Entity Type | Organization |
Authorized Contact | LEWIS R EVERSOLE President 858-492-9500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
Enumeration Date | 2006-03-24 |
Last Update Date | 2011-03-22 |