NPI | 1578614186 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES H MUCCI President 916-481-0594 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32434) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |