| NPI | 1972101277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CHRISTOPHER PEDURAND Practice Administrator 760-277-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |