| NPI | 1396285284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON STRAW Founder/Owner 916-990-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 52782) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |