NPI | 1053722447 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MARK BAUER Owner 510-790-3900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 36644) |
Enumeration Date | 2014-05-19 |
Last Update Date | 2014-05-19 |