| NPI | 1962550160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ALTON WOLTER President 925-933-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 24623) |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2007-09-04 |