| NPI | 1588672695 |
|---|---|
| Former Legal Business Name | SAME |
| Entity Type | Organization |
| Authorized Contact | RICK J. KLEINSASSER Owner/Partner 805-922-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29330) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2021-07-06 |