NPI | 1134510654 |
---|---|
Entity Type | Organization |
Authorized Contact | NACHIKET J. DAVE President 510-862-1881 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 50236) |
Enumeration Date | 2015-02-06 |
Last Update Date | 2015-02-06 |