| NPI | 1962447557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LYNN REISZ President 559-435-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 46944) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2015-08-11 |