| NPI | 1710170733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT CALVIN MACKAY President 530-877-8694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 25588) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |