| NPI | 1861477796 |
|---|---|
| Doing Business As | ANTIOCH & BRENTWOOD PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LESLIE K. TANIMURA Chief Financial Officer 925-757-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2010-02-24 |