| NPI | 1851633184 |
|---|---|
| Other Name | BERKELEY PERIODONTICS AND DENTAL IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | RYAN LAWRENCE HORN Partner 510-843-6341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |