NPI | 1922676535 |
---|---|
Entity Type | Organization |
Authorized Contact | GENEVIEVE ABI-NAHED Owner 858-242-8223 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-06-11 |
Last Update Date | 2021-06-11 |