| NPI | 1467642389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE URSULA WHALEN President 530-527-2865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45148) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |