| NPI | 1790994994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNIE S. LAVORINI Owner 510-444-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 23737) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |