| NPI | 1083822654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD AVAKOFF President 408-246-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 25859) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |