NPI | 1609273101 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE OHARA President 559-554-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2014-11-26 |
Last Update Date | 2016-08-25 |