| NPI | 1790267425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYSON CHALMERS Dentist 916-508-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51468) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |