| NPI | 1003020280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HENRY PORTALUPI Owner 530-662-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DDS25066) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-02-15 |