| 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 |