NPI | 1750392007 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL J RODRIGUEZ Office Manager 559-435-5033 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 234622) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 50234) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2020-08-22 |