NPI | 1154799450 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW D MURRAY President 530-343-1685 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 54765) |
Enumeration Date | 2015-09-03 |
Last Update Date | 2015-09-03 |