| NPI | 1407609720 |
|---|---|
| Doing Business As | SIERRA TAHOE DENTAL |
| Entity Type | Organization |
| Authorized Contact | THOMAS ALAN RUTNER President 650-996-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |