| NPI | 1144437187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ALBERT CARTER President 209-826-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 17045) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |