| NPI | 1144552043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSIMRAT BAL Chief Dentist 916-723-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |