NPI | 1770789810 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISLENA N THRASHER Office Manager 209-835-9111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43850) |
Enumeration Date | 2007-06-25 |
Last Update Date | 2020-08-22 |