NPI | 1316156276 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM CAMERON VIZZOLINI President 707-643-2660 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 27705) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |