| NPI | 1073627345 |
|---|---|
| Other Name | DENTURE CENTER |
| Entity Type | Organization |
| Authorized Contact | WALTER F. TICKNER Owner/Dentist 510-351-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 23418) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |