| NPI | 1982057576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETU LAGOO Owner/Provider 510-396-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30538) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |