| NPI | 1336299239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE KENNETH CLIFFORD Owner 530-877-0189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34280) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |