NPI | 1225558869 |
---|---|
Doing Business As | PINOLE VALLEY ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | KAMILAH SANFORD President 510-334-1593 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2017-06-25 |
Last Update Date | 2017-06-25 |