| 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 |