| NPI | 1679620298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E LOVE Owner 510-452-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA D19512) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-05-22 |