NPI | 1194911974 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES L QUINLAN President 559-448-9983 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 15763) |
Enumeration Date | 2007-09-14 |
Last Update Date | 2009-09-24 |