| NPI | 1588176440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO S GERODIAS Dentist/Owner 209-526-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 46799) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2022-07-21 |