| NPI | 1194980284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JAMES O'NEILL Doctor/ Owner 916-786-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 25963) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 39553) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |