NPI | 1740694181 |
---|---|
Entity Type | Organization |
Authorized Contact | BAS WILLEM WAFELBAKKER President 925-935-5630 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2014-06-13 |
Last Update Date | 2014-06-13 |