| NPI | 1073737599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN P MCPHERSON President 559-734-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 50954) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |