| NPI | 1578704169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HARTMAN LARSON Pediatric Dentist, Owner 559-431-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 25928) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |