| NPI | 1669580486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL STEVEN WILENSKY Owner President Of Corporation 707-961-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 019990) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |