| NPI | 1669480554 |
|---|---|
| Other Name | MEDICAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | BRIAN K SIBBALD Dentist 707-762-5363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 23669) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-10-16 |