| 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 |