| NPI | 1386813509 |
|---|---|
| Doing Business As | MCHENRY VILLAGE DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARY LOU FITZPATRICK Owner 209-527-4631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 39633) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |