| NPI | 1083005698 |
|---|---|
| Doing Business As | PRODENTAL |
| Entity Type | Organization |
| Authorized Contact | AMY H PHAM Owner 530-534-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 52451) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |