NPI | 1972610046 |
---|---|
Doing Business As | DENTAL SOURCE OF CALIFORNIA |
Entity Type | Organization |
Authorized Contact | DONALD CLARKE Corpoation President 916-487-0117 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 33738) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2010-01-04 |