| NPI | 1538438478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMPSON TOM President 925-734-0748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 32623) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |