| NPI | 1407187388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE B CARANDANG-LIBERTY President/Owner 916-988-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53377) |
| Enumeration Date | 2010-01-16 |
| Last Update Date | 2010-01-16 |