NPI | 1447288006 |
---|---|
Doing Business As | BLUE OAK DENTAL ROCKLIN |
Entity Type | Organization |
Authorized Contact | MARK MARK ARENA Pc Holder 916-435-2475 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2006-06-30 |
Last Update Date | 2016-09-30 |