| NPI | 1205135134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAELENA RANGEL SIMPSON President 530-906-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 328) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-06-08 |