| NPI | 1992133136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L ACONE President 424-263-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 50879) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2014-02-28 |