| NPI | 1912061631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD PERREN HAWKINS President 925-455-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 21017) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |