| NPI | 1942441548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD S. TOM President 805-383-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31539) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |