| NPI | 1609039452 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | KAREN KAY AVANTINO Owner 530-222-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 43312) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |