NPI | 1962872887 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT LIN Owner/President 925-577-8779 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0300X Dentist, Periodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2015-10-05 |
Last Update Date | 2015-10-05 |