| NPI | 1508384454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB DEVINNEY President/Owner 925-484-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61148) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |