| NPI | 1497255657 |
|---|---|
| Doing Business As | INDEPENDENCE DENTAL |
| Entity Type | Organization |
| Authorized Contact | NASTASSIA ULASIK Doctor Of Dental Surgery/Owner 925-890-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |