| NPI | 1710708698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C CLIFF CEO 510-410-7419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |