| NPI | 1497298657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY KOIDA President 510-652-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55075) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |