| NPI | 1457842957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM SULIMAN CEO/Dentist Orthodontist 209-478-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 56348) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |