NPI | 1073788170 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIREEN CHOUDHURY President 650-967-1389 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47058) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2008-04-29 |