| NPI | 1700269982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER VILDERMAN Owner 916-372-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CA 40753) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |