| NPI | 1093353401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA V MILSTEIN Owner 916-677-1216 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2020-02-24 |