| NPI | 1194962852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D THOMPSON President 209-545-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47812) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |