| NPI | 1336110055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL H HUNTER President 707-448-6882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 19633) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 25264) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |