Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 43712 | CA |
NPI | 1003085986 |
---|---|
Provider Name | Dr. Geraldine Abrera Lim |
First Address | Oakland, CA 94602-1207 |
Second Address | Oakland, CA 94602-1207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2008 |
Last Update Date | 26/02/2008 |