| NPI | 1184705717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE GORCZYCA Owner 925-757-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 40756) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |