| NPI | 1346660404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M.A. BERGER Owner/Partner 510-848-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: CA 29890) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |