| NPI | 1972235232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTEN DISMUKE WHITMER President 805-377-1485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |