NPI | 1205290061 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER P WONG President 925-933-0677 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54320) |
Enumeration Date | 2016-04-07 |
Last Update Date | 2016-04-07 |