NPI | 1831243104 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY B WONG President And CEO 510-818-1891 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51156) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |