| NPI | 1194099192 |
|---|---|
| Doing Business As | MANTECA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | RICK VAN TRAN President 209-823-9218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 53036) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-04-25 |