| NPI | 1558458703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK H. HOLT President 916-786-9282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 35615) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |