| NPI | 1952526444 |
|---|---|
| Other Name | PLACER DENTAL CLINIC TAHOE |
| Entity Type | Organization |
| Authorized Contact | ROBERT LONG Clinic Manager 530-886-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-06-05 |