| NPI | 1801093208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE ALAN GOWDEY Chief Executive Officer 916-941-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 38843) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |