| NPI | 1700030541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEVON JUNE LIEBERMAN Corporate Secretary 510-796-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: CA 23532) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |