| NPI | 1871995647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN AARON LAWRENCE Director 760-729-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 34865) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |