| NPI | 1518972991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT VINCENT PHILLIPS Pres./Treas 530-758-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 24589) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |