NPI | 1376744821 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE J FREMMING Owner 559-299-9561 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 20183) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2007-07-20 |