| NPI | 1770798423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK C. CREEVAN Owner 925-443-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 47706) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-04-04 |