| NPI | 1750481735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SMITH Director Of Operations 559-326-5932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-05-14 |