| NPI | 1376880088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAEL BERNSTEIN Owner Doctor 707-575-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 46245) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2023-06-29 |