| NPI | 1780121624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA NICOLE LEE ZERTUCHE President 209-232-5846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 60794) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2019-11-13 |