| NPI | 1073720504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN SHIDMAND President 559-479-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48018) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |