| 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 |