| NPI | 1083362537 |
|---|---|
| Doing Business As | DENTAL SOURCE OF CALIFORNIA |
| Entity Type | Organization |
| Authorized Contact | DONALD CLARKE President Of Corporation 916-487-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-05-16 |