| 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 |