| NPI | 1245452069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DAVIS DAVIS President 707-575-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 21791) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |