| NPI | 1588876403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS MICHAEL ORIMO Owner 209-477-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DC033826) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |