| NPI | 1043420011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYLEY BUETTNER Off. Mgr 559-562-5171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40059) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-07-28 |