| NPI | 1235291568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KODAMA Chief Executive Officer 559-229-6437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D38861) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-17 |