| NPI | 1568471654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CLINTON BAWDEN Owner/President 707-429-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA CA 25119) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |