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 |