| NPI | 1073205050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAN CHEHREHSA President 408-832-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |