NPI | 1871624528 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON LAW President 510-792-1551 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 44915) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-08-22 |