| NPI | 1407049570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M OTANI Dentist Owner 916-428-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 34538) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 37472) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |