| NPI | 1437207099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYBELLE LAN-ANH TRAN Dentist Owner 510-487-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 43870) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |