| NPI | 1083966451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ASHTON VELLEQUETTE Business Owner/Dentist 408-245-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29513) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |