| NPI | 1770795288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R SUE President 925-443-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA D22550) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |