NPI | 1316001530 |
---|---|
Doing Business As | CRAFTSMAN DENTAL CARE |
Entity Type | Organization |
Authorized Contact | MICHAEL STEWART FIFE President 916-974-1160 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 40350) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2023-03-07 |