| NPI | 1851878250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A SALADIN Owner 916-333-0563 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2019-07-30 |