| NPI | 1518138056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL BURKE President 916-684-4780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 48886) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |