| NPI | 1538493317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ANN JOHNSON Accounts Receivable 530-241-6374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 22817) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |