NPI | 1679976013 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG B. HOLLINGSWORTH Owner / President 916-452-5231 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 24460) |
Enumeration Date | 2014-09-30 |
Last Update Date | 2014-09-30 |