| NPI | 1902334956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM SOLTANI Dentist/President 707-567-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 54307) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-07-21 |