NPI | 1093210353 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN LYNN NITTA Office Manager 559-259-5650 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 49913) |
Enumeration Date | 2018-03-28 |
Last Update Date | 2018-03-28 |