NPI | 1952487357 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE S MATOSIAN President 619-460-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 24829) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2012-02-10 |