| NPI | 1619122561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURORA ISABEL RUBIO MAMURI Registered Dental Assistant 510-912-9093 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2023-09-12 |