NPI | 1609133479 |
---|---|
Doing Business As | SYCAMORE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | LORI ANN ROSS TIJERINO Owner/CEO 925-940-7770 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 54031) |
Enumeration Date | 2012-04-18 |
Last Update Date | 2024-08-15 |