| NPI | 1225168156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W SPRAGUE Dentist CEO 805-484-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 29105) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2014-10-20 |