| NPI | 1730117300 |
|---|---|
| Doing Business As | BLUE OAK DENTAL ROSEVILLE |
| Entity Type | Organization |
| Authorized Contact | MARK ARENA Pc Holder 916-786-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-09-30 |