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 |