NPI | 1619002748 |
---|---|
Doing Business As | GENTLE CARE FAMILY DENTISTRY AT STANFORD RANCH |
Entity Type | Organization |
Authorized Contact | MARISSA T. SERNA-ARAGOZA Chairman Of The Board 916-435-2864 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47172) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2020-08-22 |