| NPI | 1912247024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW R FLETCHER President 209-524-7347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43007) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |