NPI | 1043223852 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET LORAINE PELLA Office Manager Receptionist 510-452-1704 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 21216) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2020-08-22 |