| NPI | 1548308356 |
|---|---|
| Doing Business As | CAMPUS COMMONS PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | C THADDEUS SZYMANOWSKI Periodontist 916-929-5052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 19011) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 46331) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-10-19 |