| NPI | 1205603826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA GRIECO Dental Hygienist In Alternative Pra 559-395-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |