| NPI | 1396990354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY ARTHUR LAURITZEN President 925-283-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43807) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |