| NPI | 1336216365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD L CHALKER President Of Corporation 805-466-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 24935) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |