| NPI | 1598178121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE B DEOCAMPO Owner 707-399-8569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26375) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |