| 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 |