NPI | 1518749423 |
---|---|
Entity Type | Organization |
Authorized Contact | HUSSEIN ALHASAN CEO 916-622-2098 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-10-16 |
Last Update Date | 2023-10-16 |