| NPI | 1669714390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E CROMEYER President 916-422-1917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59396) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |