| NPI | 1316944465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LYONS Director Dental Clinic 916-734-5408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 23361) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-08-22 |