| NPI | 1124393954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE VASQUEZ-GARCIA President 707-536-3685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 53286) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |