| NPI | 1972625648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER VILDERMAN Owner 916-285-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40753) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |