| NPI | 1679670574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY ROBERT ACREE President 209-529-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 48870) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-03-31 |