| NPI | 1407222748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN HAMILTON Aegd Director 707-423-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019030225) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |