| NPI | 1942401161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS B SMITH Owner 619-466-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 53351) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2012-07-11 |