| NPI | 1881566750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANU SHARMA President 619-456-7504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-09-20 |
| Last Update Date | 2025-09-20 |