| NPI | 1306017876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PETER VIVIANO Owner/CEO 209-477-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 031877) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |