NPI | 1639564628 |
---|---|
Doing Business As | SANGO FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARK A HOWER Owner 916-662-1706 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN ds0000007508) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN ds0000009834) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2015-04-06 |