| NPI | 1417330614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYN PATRICIA O'BRIEN Dentist 559-438-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 64662) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |