| NPI | 1649498684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET MARIE POWERS Owner 925-937-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 43062) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-06-16 |