| NPI | 1174699789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ERIC PORTEOUS Dentist 925-736-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29191) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-12 |