| NPI | 1235552407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C CRAWFORD President 916-276-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2024-11-13 |