| NPI | 1487020194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW FERRIER President 925-283-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: CA 53063) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-09-16 |