| NPI | 1790367100 |
|---|---|
| Doing Business As | MISSION PEAK PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WANG President 510-980-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-06-10 |