| NPI | 1700029303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PAUL ANDERSON President 707-545-0944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58008) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |