| NPI | 1043556699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSHINI NAIR Dds 510-441-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 55292) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: CA 49569) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |