NPI | 1972735181 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY RYAN TAYLOR Orthodontist 760-434-7645 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2009-08-20 |
Last Update Date | 2011-06-08 |