| NPI | 1952448557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL SCOTT RUMINSON President 760-436-4123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51296) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |