| NPI | 1902919269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY LLOYD SPECTOR Owner 858-578-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 27073) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 6252) |
| 124Q00000X Dental Hygienist (Licence: CA 20492) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2009-05-01 |