| NPI | 1629494968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD T CANADA President 559-733-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 38812) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |