| NPI | 1992463434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLOMON HER President 916-856-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2022-05-05 |