| NPI | 1316476419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANY ATTIA Owner 510-969-8286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 56357) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2020-11-30 |