| NPI | 1013372846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID THEODORE CONSTANT Orthodontist 650-321-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 34600) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2016-08-16 |