| NPI | 1093936718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY L. SUEN Secretary 530-755-9968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39505) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-12 |