| NPI | 1922380781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E JARVIS Owner/Doctor 707-575-1198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA CA29956) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |