NPI | 1386172450 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD EVANGELISTA President 925-789-0575 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 47258) |
Enumeration Date | 2017-06-01 |
Last Update Date | 2017-06-01 |