Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 45292 | CA |
NPI | 1255404729 |
---|---|
Provider Name | Dr. Robert R. Mclachlan JR. |
First Address | Escondido, CA 92025-3009 |
Second Address | Escondido, CA 92025-3009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 02/07/2008 |