NPI | 1013913300 |
---|---|
Doing Business As | LIFELONG DENTAL CARE |
Entity Type | Organization |
Authorized Contact | MARTY LYNCH CEO 510-981-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 140000191) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2020-08-22 |