NPI | 1922131499 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES C COPE CEO 916-933-9080 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34601) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 52922) |
1223G0001X Dentist, General Practice (Licence: CA 48916) | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-22 |