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 |