| NPI | 1144315524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OCAMPO RAMOS President 916-441-5992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43238) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |