| NPI | 1730617119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIYA VOROBETS President 707-889-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 100184) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-07-21 |