NPI | 1093865610 |
---|---|
Entity Type | Organization |
Authorized Contact | DAISY GONZAGA ISON Dentist 209-952-2933 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34120) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |