| NPI | 1801258363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERILYN J KASPERIAN Dentist 209-996-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |