| NPI | 1770162265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER STEPHENS Owner/Orthodontist 925-672-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2021-04-03 |