| NPI | 1477765923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAROSARIO GUTIERREZ EXCONDE Dentist 707-747-1913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50414) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-03-02 |