NPI | 1770900417 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL D SCHERER President 209-536-1954 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 58233) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 58233) |
1223G0001X Dentist, General Practice (Licence: CA 58233) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 58232) | |
Enumeration Date | 2014-03-19 |
Last Update Date | 2014-03-19 |