| NPI | 1427109230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY EMMERSON Practice Administrator 916-784-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38427) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2018-08-29 |