| NPI | 1053734384 |
|---|---|
| Doing Business As | BLUE HILLS DENTAL |
| Entity Type | Organization |
| Authorized Contact | LORRI DETRICK Chief Operating Officer 916-563-6002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-09-10 |