| NPI | 1205328291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNIKA TRICIA DAO President 530-222-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 64200) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2019-09-05 |