| NPI | 1801918990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE R. OKAZAKI Owner 510-794-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 37717) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |