| NPI | 1013431246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE YANG President 510-585-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2020-07-07 |