| NPI | 1700095429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY LEIGH FOUND CEO 209-577-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D23098) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-04-14 |