| 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 |