NPI | 1962878033 |
---|---|
Entity Type | Organization |
Authorized Contact | MERWIN DIAZ Office Manager 916-480-0522 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44669) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2015-08-12 |