| NPI | 1134513518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ELAN KINERET President 916-772-5832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 25769) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |