| NPI | 1023353992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP WOLKSTEIN President 408-578-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 23577) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |