| NPI | 1093335713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN O'HARA Owner/President 559-554-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |