| NPI | 1104442995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA GONZALES Owner 559-960-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Additional Taxonomies | 125K00000X Advanced Practice Dental Therapist |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-09-16 |