| NPI | 1063582625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ERNESTINA BARRAGAN Owner / President 408-288-5490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42523) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-10-02 |