| NPI | 1972628774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT S. DAFT Partner 916-966-1751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 22335) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-06-18 |