| NPI | 1811147796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SADAO MASUMOTO President 559-229-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 14139) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 14139) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |