| NPI | 1134465651 |
|---|---|
| Doing Business As | MODERN DENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | RANDALL T HAYASHI CEO 916-489-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 36765) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2016-02-03 |