| NPI | 1851300487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CHANDLER President 559-734-6492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 24355) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-07-06 |