| NPI | 1033452602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN F EVERETT President 408-243-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 20849) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |