| NPI | 1558608091 |
|---|---|
| Doing Business As | FAMILY DENTAL SPECIALTY GROUP |
| Entity Type | Organization |
| Authorized Contact | RANDALL T HAYASHI CEO 916-485-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 36765) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-04 |