| NPI | 1366575938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DUANE HENSON President 925-283-6564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 23615) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |