| NPI | 1649446980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG PETER MLYNARCZYK President 707-527-0363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 23353) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |