NPI | 1023169216 |
---|---|
Doing Business As | SEQUOIA DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | MIROSLAV MIKE STANIC President 559-635-7186 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-01-15 |
Last Update Date | 2020-08-22 |