| NPI | 1457553752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENRIC A SNOW President 916-784-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45324) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |