| NPI | 1508901323 |
|---|---|
| Doing Business As | ROCKLIN FAMILY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GERTRUDE LEE Pres. 916-315-3558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35666) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-12-08 |