| NPI | 1881718468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN STEIN Office Manager 805-569-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DK034762) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |