| NPI | 1861882086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLAN SMITH CFO 760-724-8891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 63419) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |