| NPI | 1780984252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY CLAYTON Owner/Partner 510-483-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 39567) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 39775) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |