NPI | 1831496785 |
---|---|
Entity Type | Organization |
Authorized Contact | TERECITA DEAN Owner 510-522-0878 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 37095) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 37095) |
Enumeration Date | 2011-02-11 |
Last Update Date | 2011-02-11 |