NPI | 1003264938 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD YUKIO WAKE President 925-283-0280 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 22931) |
Enumeration Date | 2016-06-01 |
Last Update Date | 2016-06-01 |