| NPI | 1376098384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN THURMAN Owner 559-439-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |