| NPI | 1922430487 |
|---|---|
| Doing Business As | PEDIATRIC ORAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | PATRICK TING SO Co Owner 510-418-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 58408) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 59271) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |