NPI | 1053514349 |
---|---|
Doing Business As | YOLO DENTAL PRACTICE |
Entity Type | Organization |
Authorized Contact | BRENDA OLIMPIADA DIZON Dentist 530-662-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37072) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2016-01-13 |