| NPI | 1639378318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W GILLETT President 530-877-6586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 22353) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |