| NPI | 1053024273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAYDON CARR General Partner 530-343-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |