| NPI | 1124178322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY BUGHAO Partner 916-718-4901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA B35597) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-07-07 |