| NPI | 1205304508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMERALD NGUYEN Orthodontist/Partner 510-361-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2024-07-17 |