| NPI | 1487800215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR T PAK Owner 209-667-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 53549) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |