| NPI | 1992720627 |
|---|---|
| Doing Business As | DENTAL SOURCE OF CALIFORNIA |
| Entity Type | Organization |
| Authorized Contact | DONALD CLARKE President Of Corporation 916-486-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 33738) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-10-14 |