| NPI | 1033398243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFRAIN A MONTANA Director 408-847-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49148) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |