| NPI | 1770236002 |
|---|---|
| Doing Business As | LONE PEAK DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JEANNINE SASO Director Of Operations 916-479-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |