| NPI | 1811365919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULITA SHANTAGONDA PATIL President 925-689-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 45602) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |