| NPI | 1841490992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN W. FONG President/Dentist 916-451-2473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 28440) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |