| NPI | 1205444288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN-CATHERINE PINEDA BAUTISTA Owner/ General Dentist 510-640-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |