| NPI | 1386841559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM ANDERSON President 707-422-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 39508) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |