NPI | 1245854157 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY L ADAMS President 916-662-5102 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2020-06-05 |
Last Update Date | 2020-06-05 |