| NPI | 1114147576 |
|---|---|
| Doing Business As | HAZEL FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | FRANK GONTARSKI Owner Sole Proprietor 916-962-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 30217) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |