| NPI | 1841308947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT STUART PETERS President 559-226-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 33353) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2025-07-09 |