NPI | 1104100262 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP CUMMINGS Dentist 530-671-4784 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28141) |
Enumeration Date | 2011-10-06 |
Last Update Date | 2011-10-06 |