| NPI | 1639730625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. LOWE Owner 559-439-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |