| NPI | 1801959515 |
|---|---|
| Doing Business As | YOUTHFUL TOOTH |
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALEXANDER Owner 510-568-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26327) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-11-30 |