NPI | 1619245214 |
---|---|
Entity Type | Organization |
Authorized Contact | DICK M HOM Partner 925-676-1440 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 283290) |
Enumeration Date | 2011-12-09 |
Last Update Date | 2011-12-09 |