| NPI | 1205129624 |
|---|---|
| Other Name | DENTAL MEDICINE PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CAMPBELL Office Administrator 916-737-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 45975) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |