NPI | 1982620001 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN JOHN BRAZIS President 916-731-5151 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 30516) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2020-08-22 |