| 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 |