| NPI | 1063802833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIK A VANOOTEGHEM President 408-738-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 033393) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |