| NPI | 1790926673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FREEMAN President 559-840-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 52983) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |