| NPI | 1013799931 |
|---|---|
| Doing Business As | WILLOW GLEN DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | SOFIA M ZAMORANO Office Manager 408-504-4935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |