| NPI | 1962892265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SIMPSON MILLER President 858-263-2763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58453) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |