NPI | 1679646400 |
---|---|
Doing Business As | STANFORD RANCH FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JASON A SCORZA Owner 916-435-4222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47793) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2008-09-25 |