NPI | 1740490598 |
---|---|
Doing Business As | SAN LEANDRO PLAZA DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | ROGELIA CASTRO MANIEGO President 510-357-8878 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 49144) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-08-22 |