| NPI | 1154492239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WILLIAM JOHNSON President 916-691-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43798) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-05-21 |