| NPI | 1427276989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN NERAD President 925-846-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DU032748) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA DU032748) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-11-03 |