| NPI | 1366642530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R RICUPITO President 510-797-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 31849) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |