| NPI | 1588795579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A LEVINE Dentist 510-526-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42931) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |