| NPI | 1770705386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP W. OLRICH President Dentist 510-658-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 22834) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-08-21 |