| NPI | 1275542342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY K. ITO CEO 510-785-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 33472) |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2020-08-22 |