NPI | 1578963559 |
---|---|
Entity Type | Organization |
Authorized Contact | KARL GUT LUM President 510-792-3286 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 39984) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 43812) |
Enumeration Date | 2014-08-27 |
Last Update Date | 2014-08-27 |