| NPI | 1497476030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST H WONG Owner, Dentist 510-828-2834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |