| NPI | 1013158435 |
|---|---|
| Doing Business As | DYNAMIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | DENISSE MONTALVO Dentist 916-368-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 55064) |
| Enumeration Date | 2009-03-14 |
| Last Update Date | 2009-03-14 |