| NPI | 1255857942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY MARIE VACCAREZZA Owner 209-815-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 101468) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |