| NPI | 1629663356 |
|---|---|
| Doing Business As | PELLICANO FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JASVINDER S BADWALZ Owner 916-747-8534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 125Q00000X Oral Medicinist |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2022-07-26 |