| NPI | 1184171217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DAVID SCHAPANSKY President 559-776-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA ca60685) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2019-06-25 |