NPI | 1962630095 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT RANDOLPH PARKER President 209-722-3958 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 18743) |
Enumeration Date | 2009-06-26 |
Last Update Date | 2009-06-26 |