NPI | 1235527557 |
---|---|
Doing Business As | PEDIATRIC DENTISTRY OF WEST SACRAMENTO |
Entity Type | Organization |
Authorized Contact | PAUL AARON JOHNSON President 916-277-8055 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 57809) |
Enumeration Date | 2015-01-09 |
Last Update Date | 2015-01-09 |