| NPI | 1205402997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BUCHLER Orthodontist 209-499-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-02 |