| 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 |