| NPI | 1710134085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND IAN YOUNG Owner/Doctor 209-522-9963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 29538) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |