| NPI | 1871621763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL N NGUYEN Director 510-785-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46505) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-01-16 |