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 |