| NPI | 1841987575 |
|---|---|
| Doing Business As | MATHER MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CASTILLO Owner/Dds 916-885-4927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |