| NPI | 1174906887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDA SAPPINGTON Office Manager 925-757-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 0516788) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 29021) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |