| NPI | 1023131539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MARY DELMORE Owner 916-929-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CA A49484) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |