| NPI | 1831387836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY WILLIAM SMITH President 209-532-4376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 25219) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |