| NPI | 1962685289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY P. POTENTE President 619-298-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 40186) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |