| NPI | 1699069377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON L JETER Co Owner 559-739-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46614) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 23523) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |