| NPI | 1356374375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA TRAN MERCADO Dentist 510-656-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 45043) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-10-08 |