| NPI | 1073732566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GOROSPE SOLANZO CEO 408-272-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40017) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |