| NPI | 1528499167 |
|---|---|
| Doing Business As | FREMONT SPECIALITY |
| Entity Type | Organization |
| Authorized Contact | LINGA VUPPALA CEO/ President 510-713-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |