| NPI | 1043589294 |
|---|---|
| Doing Business As | NUT TREE SMILES DENTISTRY AND ORTHODONTICS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | USHA MANTENA Owner Doctor 707-451-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2013-11-12 |