| NPI | 1154533966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA LYNN JONES HINDBAUGH Partner 707-832-8382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54573) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 26187) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-08-21 |