| NPI | 1184468811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREETI KUMAR Owner 510-299-3016 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |