| NPI | 1437818184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE NASH Office Manager 925-837-8048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2021-12-09 |