| 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 |