| NPI | 1609161652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRIY KULYK President 925-457-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58594) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |