| NPI | 1811026685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN R CZEKALA Dentist 925-828-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35603) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 18187) |
| 1223G0001X Dentist, General Practice (Licence: CA 41261) | |
| 1223G0001X Dentist, General Practice (Licence: CA 54869) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-08-13 |