| NPI | 1619151149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE KENNEDY BARACEROS Managing Partner 925-833-8702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55561) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |