| NPI | 1154847622 |
|---|---|
| Doing Business As | ONE LOOSE TOOTH, DENTAL PRACTICE OF DR. ALEX KEITH |
| Entity Type | Organization |
| Authorized Contact | ALEX KEITH Owner 510-912-0923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 100100) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-07-21 |