| NPI | 1255885018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY J KELLOGG Partner 559-322-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42167) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |