NPI | 1023021904 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAELEE T NGUYEN Dentist 408-258-5298 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44748) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2008-06-19 |