| NPI | 1083895213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L ROW Secretary Treasurer Of The Corporat 707-442-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA DT26226) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |