| NPI | 1477663789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE PY LE Dentist 209-551-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51609) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 52900) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |