| NPI | 1174720882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN FRANKLIN Office Manager 209-722-2764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 22155) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |