| NPI | 1235413600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH O TORRES Owner 510-895-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57997) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-12-05 |