| NPI | 1154487205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO ESSAPOUR President 209-668-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 44870) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2020-08-22 |