| NPI | 1861772790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEL KHALIL President 510-548-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 59216) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2019-01-25 |