| NPI | 1982032017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUEY PIERCE MADISON Doctor Of Dental Surgery 510-336-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 45728) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-12-24 |