| NPI | 1063714194 |
|---|---|
| Doing Business As | ICARE DENTIST |
| Entity Type | Organization |
| Authorized Contact | LISA PT NGUYEN Dds 408-462-9135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58947) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |