| NPI | 1750386645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY R WOOD Partner 559-781-7685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 24419) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 25102) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 34589) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-08-22 |