| NPI | 1669875381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW P JEFFERS Partner 707-462-2993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 62628) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |