| NPI | 1154199404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER JAMES ANDERSON Partner 559-732-7946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |