| NPI | 1144241373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FREDRICK VERT President 707-443-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 034247) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |