| NPI | 1053713602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW IRVINE CORBETT Owner 707-462-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 63323) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |