| NPI | 1053463182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID IAN THOMPSON Owner 408-736-3602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31873) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |