| NPI | 1568549541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FLOYD WILSON Rda Dental Asst 707-765-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: CA rda47476) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |