NPI | 1275719783 |
---|---|
Entity Type | Organization |
Authorized Contact | HELEN FRANKLIN Office Manager 209-722-2764 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 55551) |
Enumeration Date | 2008-01-15 |
Last Update Date | 2012-06-19 |