| NPI | 1649470519 |
|---|---|
| Doing Business As | PREVENTIVE DENTAL CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | INJOO HAN Owner CEO 530-622-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 48283) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-09-05 |