NPI | 1962793968 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT E ANDERSON President 530-622-9068 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 97193) |
Enumeration Date | 2011-04-25 |
Last Update Date | 2011-04-25 |