| NPI | 1861630725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY ALLAN ORGAN President 805-494-4887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 20566) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 52055) |
| 1223P0700X Dentist, Prosthodontics (Licence: CA 52046) | |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-10-05 |