| NPI | 1245349141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A GRABOW President 209-532-5788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 34847) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |