| NPI | 1780085811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM E STEPHENS President 530-876-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61642) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |