NPI | 1245521624 |
---|---|
Doing Business As | TUNNEL CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | JAMES HAVEN HASTINGS Owner 530-344-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28569) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2011-04-20 |