| NPI | 1942603758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIDEL FRANCISCO BENIGNO Owner 916-271-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA HAP541) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |