NPI | 1740730704 |
---|---|
Doing Business As | REDWOOD DENTAL |
Entity Type | Organization |
Authorized Contact | SAMUEL WESLEY CHRISTENSEN Dentist 831-722-1432 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CA 53776) |
Enumeration Date | 2016-10-13 |
Last Update Date | 2016-10-13 |