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 |