| NPI | 1811183841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DOUGLAS KUBO CFO 559-438-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA D33611) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |