| NPI | 1366839755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LEE HILLOCK Company President 209-522-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 30787) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |