| NPI | 1528423431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASBIR SINGH CHEEMA President 209-323-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |