| NPI | 1376618199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARD ELLIS President 530-671-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA d21563) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |