NPI | 1871982520 |
---|---|
Doing Business As | NOTHING BUT WISDOM TEETH |
Entity Type | Organization |
Authorized Contact | LINDSAY JOHNSON President/Owner 916-595-4617 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 50279) |
Enumeration Date | 2015-01-19 |
Last Update Date | 2015-01-19 |