| NPI | 1710118708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANDRE Office Manager 510-724-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 46586) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2014-05-14 |