| NPI | 1154446375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WONG General Dentist Partner Of Offices 510-796-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 31732) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 31222) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-07-21 |