| NPI | 1457711772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON EINOWSKI Owner Dentist 530-400-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 60489982) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |