| NPI | 1407040108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POGE HER Dentist/Owner 916-428-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 53996) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |