NPI | 1538179957 |
---|---|
Entity Type | Organization |
Authorized Contact | AGNES L CASTANEDA Business Administrator 510-494-0404 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38667) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2020-08-22 |