| NPI | 1902451818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LUTHER Owner 760-233-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |