| NPI | 1093044927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA CURTIS Business Manager 707-279-2193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WI 37070) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 58195) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |