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 |