| NPI | 1841414067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVINDER SINGH MANAK Officer 209-460-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 41310) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |