| NPI | 1578963815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN PAA REYES President/Dentist 510-487-6265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA B35979) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |