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 |