| NPI | 1437573151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE ARTHUR RUST Owner 530-223-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA D 19525) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |