| 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 |