NPI | 1407150139 |
---|---|
Doing Business As | BERKELEY PERIODONTICS AND DENTAL IMPLANTS |
Entity Type | Organization |
Authorized Contact | RYAN LAWRENCE HORN Dentist 510-843-6341 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 56850) |
Enumeration Date | 2011-01-10 |
Last Update Date | 2011-01-10 |