| NPI | 1861632630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROHSHANA PLUNKETT Manager 619-448-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 20425) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |