| NPI | 1811335755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERRET W OSENDORF Owner/Dentist 707-523-7423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 56052) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |