| NPI | 1326093360 |
|---|---|
| Doing Business As | DALE ROAD CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | STEVEN A MITNICK Medical Director 209-521-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-10-03 |