| NPI | 1902811573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. KENT FARNSWORTH Owner 916-481-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 21364) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-08-20 |