| NPI | 1063846533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE A BALDASSARI-CRUZ President 650-380-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 38395) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |