NPI | 1043615016 |
---|---|
Doing Business As | HAYWARD DENTISTRY |
Entity Type | Organization |
Authorized Contact | RICK VAN TRAN President/Dentist 510-475-0999 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 53036) |
Enumeration Date | 2014-11-03 |
Last Update Date | 2014-11-03 |