| NPI | 1316221674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GEORGE DWYER President 916-784-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 24221) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 32297) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |