| NPI | 1639832892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASBIR CHEEMA CEO 209-323-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |