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 |