| NPI | 1790943892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BURNS CRAWFORD President 707-447-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 25791) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |