| NPI | 1952382368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY NMN SCHAEFFER Owner President 760-747-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 20458) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2010-09-14 |