NPI | 1902004641 |
---|---|
Former Legal Business Name | DAVID SECCOMBE, DDS |
Entity Type | Organization |
Authorized Contact | DAVID SECCOMBE President 909-626-5662 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 28236) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2007-10-12 |