| NPI | 1528437928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK CHRISTOPHER THOMPSON Owner 925-934-3251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 19683) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |