NPI | 1023116167 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL MICHAEL HILLENDAHL CEO 530-626-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28165) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |