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 |