| 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 |