| NPI | 1942712989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL C DAVID Owner/Dentist 760-753-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 50744) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |