| NPI | 1801166129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PETER BUTRICA President 707-528-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 42036) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |