| NPI | 1518066257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STEPHEN HUMERICKHOUSE Dentist 559-688-8069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32321) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |