| NPI | 1932234861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY K SHIMANE Owner 510-885-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 43658) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-12-02 |