| NPI | 1568884229 |
|---|---|
| Doing Business As | THE TOOTH STATION |
| Entity Type | Organization |
| Authorized Contact | BRYAN RANDOLPH Owner/Dentist 916-419-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 41779) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |