| NPI | 1609633684 |
|---|---|
| Doing Business As | PREWITT DENTAL RANCHOS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY EDWARD PREWITT CEO 559-960-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-19 |