| NPI | 1134291057 |
|---|---|
| Doing Business As | DBA UNITED DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PETER THAI President 510-790-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44632) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 44579) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2015-06-01 |