| NPI | 1639522782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J ANDERSON Dentist/Owner 530-753-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42629) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |