| NPI | 1255521209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R CROFT President 209-524-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 20093) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |