| NPI | 1902073307 |
|---|---|
| Doing Business As | TRI-CITY ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | GUY W MENDIVIL Owner 760-945-4692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA D29737) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2015-07-01 |