| NPI | 1194134692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAR PAWAR Owner 916-232-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2017-01-11 |