| NPI | 1386009884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS PAUL NUTTER Owner 707-422-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 28054) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |