| NPI | 1679698153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ELKINS President 559-226-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 24287) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |