| NPI | 1225223142 |
|---|---|
| Doing Business As | DELTA BAY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TODD WEDEKING Co Owner 925-516-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 50191) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 53859) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |