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 |