| NPI | 1891103214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAGANDEEP KOHLI President 510-276-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49124) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2016-07-29 |