| NPI | 1700976461 |
|---|---|
| Doing Business As | PIONEER FAMILY DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MARILOU C. TAN President 916-689-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |