| NPI | 1780071555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA NAKHLA Dentist/Owner 925-837-8765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 43208) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |