| NPI | 1699721688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BRADFORD SMITH Vice President 916-567-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34772) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |