| NPI | 1033384326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER R. MCGEOCH Dentist 707-263-5427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 29368) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |