| NPI | 1376681635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL BOYD Doctor 209-526-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 20824) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |