| NPI | 1750895520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO RUBEN MORALES Dentist/Owner 510-487-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 42188) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |