| NPI | 1306065701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD LAWRENCE BITTNER Owner 408-247-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33725) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |