| NPI | 1568821635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIYO SHIDARA President 510-741-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48997) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |