| NPI | 1083829618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN PABLO DELGADO General Dentist 209-474-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 27514) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-05-29 |