| NPI | 1497131262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN LEE SCHELLINCK Orthodontist 925-300-3619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 62193) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |