| NPI | 1003365057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJWINDER SINGH DHILLON Dentist 916-872-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 59097) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: CA 59097) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |