| NPI | 1902464175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FREEMAN Partner 559-325-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |