| NPI | 1629283262 |
|---|---|
| Other Name | FAMILY DENTAL TEAM |
| Entity Type | Organization |
| Authorized Contact | RAYMOND A KO Owner 559-264-4543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 37124) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 15321) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-05-03 |